Aetna Medical Policy Updates – June 2019

Click here to view the Aetna Medical Policy Updates »

June 2019 Aetna Medical Policy Updates:

• Abatacept (Orencia)
• Ablation of Hepatic Lesions
• Adalimumab (Humira)
• Allograft Transplants of the Extremities
• Alzheimer’s Disease: Experimental Tests
• Anakinra (Kineret)
• Antiemetic Injection Therapy
• Antineoplaston Therapy and Sodium Phenylbutyrate
• Apnea Monitors for Infants
• Automated Ambulatory Blood Pressure Monitoring
• Benign Prostatic Hypertrophy (BPH) Treatments
• Bone Growth Stimulators
• BRCA Testing, Prophylactic Mastectomy, and Prophylactic Oophorectomy
• Breast Biopsy Procedures
• Breast Reduction Surgery and Gynecomastia Surgery
• Burn Garments
• Canakinumab (Ilaris)
• Cardiac Event Monitors
• Certolizumab Pegol (Cimzia)
• Cochlear Implants and Auditory Brainstem Implants
• Cold Laser and High-Power Laser Therapies
• Continuous Passive Motion (CPM) Machines
• Corneal Graft with Amniotic Membrane Transplantation or Limbal Stem Cell Transplantation
• Corneal Remodeling
• Cryoanalgesia and Therapeutic Cold
• Dental Services and Oral and Maxillofacial Surgery: Coverage Under Medical Plans
• Electrical Stimulation for Xerostomia
• Electroencephalographic (EEG) Video Monitoring
• Enbrel (Etanercept)
• Esketamine (Spravato) – Medical Clinical Policy Bulletins | Aetna
• External Breast Prosthesis
• Extracorporeal Immunoadsorption (Prosorba Column)
• Eyelid Surgery
• Frenectomy or Frenotomy for Ankyloglossia
• General Anesthesia and Monitored Anesthesia Care for Oral and Maxillofacial Surgery and Dental Services
• Genetic Testing
• Golimumab (Simponi and Simponi Aria)
• Helicobacter Pylori Infection Testing
• Hematopoietic Colony-Stimulating Factors (CSFs)
• Hereditary Angioedema
• Home Uterine Activity Monitoring
• Human Fibrinogen Concentrate (RiaSTAP and Fibryna)
• Infertility
• Infliximab – Medical Clinical Policy Bulletins | Aetna
• Injectable Medications
• Interferons
• Learning Disabilities, Dyslexia, and Vision
• Liver and Other Neoplasms – Treatment Approaches
• Low-Molecular-Weight Heparins and Thrombin Inhibitors
• Lysosomal Storage Disorders Treatments
• Magnetic Resonance Imaging (MRI) of the Breast
• Magnetic Source Imaging/Magnetoencephalography
• Meningococcal Vaccine
• Multiple Sclerosis
• Natalizumab (Tysabri)
• Negative Pressure Wound Therapy
• Neonatal Hyperbilirubinemia
• Nivolumab (Opdivo)
• Nutritional Counseling
• Nutritional Support
• Obinutuzumab (Gazyva)
• Open Air, Low Field Strength, and Positional Magnetic Resonance Imaging (MRI) Units
• Oprelvekin (Neumega)
• Optic Nerve and Retinal Imaging Methods
• Orthopedic Casts, Braces and Splints
• Pancreaticoduodenectomy (Whipple Resection)
• Paralytic Lagophthalmos Treatments
• Parkinson’s Disease
• Peak Flow Meters
• Pembrolizumab (Keytruda)
• Plasmapheresis/Plasma Exchange/Therapeutic Apheresis
• Pneumococcal Vaccine
• Prenatal Care Provided by Primary Care Physicians
• Progestins
• Psoriasis and Psoriatic Arthritis: Targeted Immune Modulators
• Pulmonary Rehabilitation
• Pulse Oximetry for Home Use
• Recurrent Pregnancy Loss
• Rituximab (Rituxan)
• Routine Foot Care
• Secukinumab (Cosentyx)
• Sinus Surgeries – Medical Clinical Policy Bulletins | Aetna
• Skilled Home Private Duty Nursing Care
• Spasticity Management
• Surface Scanning and Macro Electromyography
• Thoracoscopic Sympathectomy
• Tilt Table Testing
• Tocilizumab (Actemra)
• Tofacitinib (Xeljanz)
• Total Hip Replacement
• Tracheostomy Supplies
• Transcranial Doppler Ultrasonography
• Transrectal Ultrasound
• Trastuzumab (Herceptin), Ado-Trastuzumab (Kadcyla) and Pertuzumab (Perjeta)
• Ultrasound for Pregnancy
• Upper Gastrointestinal Endoscopy
• Ustekinumab (Stelara)
• Vedolizumab (Entyvio)
• Viscosupplementation
• Weight Reduction Medications and Programs
• Wheelchairs and Power Operated Vehicles (Scooters)
• YAG Laser in Ophthalmology and Other Selected Indications

Click here to view the Aetna Medical Policy Updates »

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